Organization · Type 2 NPI
San Mateo Medical Center Methadone Treatment Program
Methadone Clinic · Menlo Park, CA
NPI number
1487872974
Active
Practice location
795 Willow Rd, Building 332
Menlo Park, CA 94025-2539
Mailing address
222 W 39th Ave
San Mateo, CA 94403-4364
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Methadone Clinic Primary | 261QM2800X | 4104 (CA) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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About NPI 1487872974
San Mateo Medical Center Methadone Treatment Program's National Provider Identifier is 1487872974, issued on Apr 23, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Menlo Park, CA. The record was last updated on Aug 22, 2020.